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Individual
MR. SAMUEL OLAOLUWA OMOLADE
Active
Individual
MR. SAMUEL OLAOLUWA OMOLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
958104
TX
164W00000X
Licensed Practical Nurse
320878-1
NY
171M00000X
Case Manager/Care Coordinator
958104
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1099855
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61366158
WA
Other
Enumeration date
06/07/2017
Last updated
07/15/2023
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